| St.
Marys Toys For TOTs Captain Everett P. Pope Coin and Cloth Patch P.O. Box 1896 Kingsland GA 31548 |
"Toys for Tots" PURCHASE ORDER (Please print, Fill out and Mail) |
|
Ship To: [Name] [Street Address] [City, ST ZIP Code] [Phone] |
|
QTY |
UNIT |
DESCRIPTION |
UNIT PRICE |
TOTAL |
|
Set |
Coin and Cloth patch | $20.00 | ||
|
Each |
Coin only | $10.00 | ||
|
Each |
Patch only | $10.00 | ||
|
SUBTOTAL |
|
|
SHIPPING & HANDLING |
4.00 |
|
TOTAL |
|
1. Please Circle desired items or combinations and ensure quantity is identified. When completed mail the form to the address above2. Please enclose check or money order with your order form.3. Please notify us immediately if you are do not receive your product as by your order specified with in 2 weeks.4. Send all correspondence to:St Mary’s Toys for Tots P.O. Box 1896 Kingsland GA 31548 Email: billlynne@tds.net |
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| Customer Signature | Date | ||